Advantmed offers integrated solutions to help healthcare organizations improve performance.
Coding Accuracy
Over-read for Every Record
The industry’s most accurate and compliant coding solution for risk adjustment and quality, driving increased RAF scores, reduced provider abrasion, and improved financial performance.
With 100% over-read for every record and Advantmed-employed certified professional coders nationwide, we can quickly scale to meet high-volume demand while maintaining high-quality results. Our coders go through rigorous training and complete a two-stage review process to maintain high performance standards and, unlike other coding vendors, we don’t outsource—ever.
Even the most sophisticated coding software can make mistakes. Upwards of 10% of coding errors include uncoded conditions, coding gaps, over-coding, and other oversights—all of which can increase your RADV exposure and impact your reimbursement. Our 98+% coding accuracy rate means you don’t have to worry about misses and gaps.
Advantmed offers flexibility with coding projects, utilizing either our standard guidelines—based on AHA Coding Clinic recommendations—or custom guidelines provided by the health plan. All coders receive tailored training to ensure a thorough understanding of the health plan’s specific requirements, with ongoing monitoring to ensure compliance.
Support the success of your risk adjustment program with our intuitive dashboard. Leveraging advanced NLP capabilities, you can streamline reviews, uncover trends, and identify opportunities to drive risk adjustment and quality initiatives.
We’ll tap into our nationwide network of experienced coders and resources that scale up and down as demand fluctuates. We complete thorough reviews quickly and correctly while providing staffing and project flexibility.
